Individual
JEFFREY MACIEJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1276 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4101
(612) 432-0053
(612) 623-2119
Mailing address
1276 UNIVERSITY AVENUE WEST, CATHOLIC CHARITIES OF ST. PAUL AND MINNEAPOLIS, ST. PAUL, MN 55104-4101
(612) 432-0053
(612) 623-2119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19720
MN
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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